The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Brian C. Sommerlad - One of the best experts on this subject based on the ideXlab platform.
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Cleft Lip, Cleft palate, and velopharyngeal insufficiency.
Plastic and Reconstructive Surgery, 2011Co-Authors: David M. Fisher, Brian C. SommerladAbstract:Learning Objectives:After reading this article, the participant should be able to: 1. Recognize the clinical features associated with unilateral Cleft Lip, bilateral Cleft Lip, the Cleft Lip nasal deformity, Cleft palate, and velopharyngeal insufficiency. 2. Describe the most frequently used techniq
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Cleft Lip, Cleft palate, and velopharyngeal insufficiency.
Plastic and reconstructive surgery, 2011Co-Authors: David M. Fisher, Brian C. SommerladAbstract:This article provides an introduction to the anatomical and clinical features of the primary deformities associated with unilateral Cleft Lip-Cleft palate, bilateral Cleft Lip-Cleft palate, and Cleft palate. The diagnosis and management of secondary velopharyngeal insufficiency are discussed. The accompanying videos demonstrate the features of the Cleft Lip nasal deformities and reliable surgical techniques for unilateral Cleft Lip repair, bilateral Cleft Lip repair, and radical intravelar veloplasty.
C. C. Breugem - One of the best experts on this subject based on the ideXlab platform.
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Incidence of Cleft-related speech problems in children with an isolated Cleft Lip
Clinical Oral Investigations, 2021Co-Authors: B. J. A. Smarius, S. Haverkamp, H. Wilde, A. Wijck-warnaar, A. B. Mink Van Der Molen, C. C. BreugemAbstract:Objectives Clinicians agree that children with isolated Cleft Lip have fewer Cleft-associated problems than children with Cleft Lip and palate. Unfortunately, for isolated Cleft Lip children, the risk of Cleft-associated problems is unknown and maybe underestimated. Often, these children do not get the required follow-up by a multidisciplinary team and thereby not the known benefits in supporting their development. This study examines the incidence of Cleft-related speech problems and ear problems in children with isolated Cleft Lip. Materials and methods A prospective study was performed on all children born with an isolated Cleft Lip and treated at the Wilhelmina Children’s Hospital in Utrecht between January 2007 and April 2014. Data were collected for sex, date of birth, genetics, Cleft Lip type, date of Cleft Lip repair, type of repair, speech/language problems, and ear problems. Results This study included 75 patients (59% male). The mean age of the children at the moment of speech examination was 32.5 months (SD 6.1). Eighteen of the 75 children (24%) needed speech and language therapy; however, only one child (1.3%) had a Cleft-related speech problem. Sixteen of the 75 patients (21%) reported a history of one or more episodes of acute otitis media (AOM)/otitis media with effusion (OME) during the first 6 years. Conclusion/clinical relevance This is the first prospective study analyzing the incidence of Cleft-related speech problems in children with an isolated Cleft Lip. These children do not have a higher risk of Cleft-related speech problems or AOM/OME when compared to the general population. However, children with an isolated Cleft do have a higher incidence of speech therapy.
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Incidence of Cleft-related speech problems in children with an isolated Cleft Lip
Clinical Oral Investigations, 2020Co-Authors: B. J. A. Smarius, S. Haverkamp, H. Wilde, A. Wijck-warnaar, A. B. Mink Van Der Molen, C. C. BreugemAbstract:Objectives Clinicians agree that children with isolated Cleft Lip have fewer Cleft-associated problems than children with Cleft Lip and palate. Unfortunately, for isolated Cleft Lip children, the risk of Cleft-associated problems is unknown and maybe underestimated. Often, these children do not get the required follow-up by a multidisciplinary team and thereby not the known benefits in supporting their development. This study examines the incidence of Cleft-related speech problems and ear problems in children with isolated Cleft Lip. Materials and methods A prospective study was performed on all children born with an isolated Cleft Lip and treated at the Wilhelmina Children’s Hospital in Utrecht between January 2007 and April 2014. Data were collected for sex, date of birth, genetics, Cleft Lip type, date of Cleft Lip repair, type of repair, speech/language problems, and ear problems. Results This study included 75 patients (59% male). The mean age of the children at the moment of speech examination was 32.5 months (SD 6.1). Eighteen of the 75 children (24%) needed speech and language therapy; however, only one child (1.3%) had a Cleft-related speech problem. Sixteen of the 75 patients (21%) reported a history of one or more episodes of acute otitis media (AOM)/otitis media with effusion (OME) during the first 6 years. Conclusion/clinical relevance This is the first prospective study analyzing the incidence of Cleft-related speech problems in children with an isolated Cleft Lip. These children do not have a higher risk of Cleft-related speech problems or AOM/OME when compared to the general population. However, children with an isolated Cleft do have a higher incidence of speech therapy.
David M. Fisher - One of the best experts on this subject based on the ideXlab platform.
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Cleft Lip, Cleft palate, and velopharyngeal insufficiency.
Plastic and Reconstructive Surgery, 2011Co-Authors: David M. Fisher, Brian C. SommerladAbstract:Learning Objectives:After reading this article, the participant should be able to: 1. Recognize the clinical features associated with unilateral Cleft Lip, bilateral Cleft Lip, the Cleft Lip nasal deformity, Cleft palate, and velopharyngeal insufficiency. 2. Describe the most frequently used techniq
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Cleft Lip, Cleft palate, and velopharyngeal insufficiency.
Plastic and reconstructive surgery, 2011Co-Authors: David M. Fisher, Brian C. SommerladAbstract:This article provides an introduction to the anatomical and clinical features of the primary deformities associated with unilateral Cleft Lip-Cleft palate, bilateral Cleft Lip-Cleft palate, and Cleft palate. The diagnosis and management of secondary velopharyngeal insufficiency are discussed. The accompanying videos demonstrate the features of the Cleft Lip nasal deformities and reliable surgical techniques for unilateral Cleft Lip repair, bilateral Cleft Lip repair, and radical intravelar veloplasty.
B. J. A. Smarius - One of the best experts on this subject based on the ideXlab platform.
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Incidence of Cleft-related speech problems in children with an isolated Cleft Lip
Clinical Oral Investigations, 2021Co-Authors: B. J. A. Smarius, S. Haverkamp, H. Wilde, A. Wijck-warnaar, A. B. Mink Van Der Molen, C. C. BreugemAbstract:Objectives Clinicians agree that children with isolated Cleft Lip have fewer Cleft-associated problems than children with Cleft Lip and palate. Unfortunately, for isolated Cleft Lip children, the risk of Cleft-associated problems is unknown and maybe underestimated. Often, these children do not get the required follow-up by a multidisciplinary team and thereby not the known benefits in supporting their development. This study examines the incidence of Cleft-related speech problems and ear problems in children with isolated Cleft Lip. Materials and methods A prospective study was performed on all children born with an isolated Cleft Lip and treated at the Wilhelmina Children’s Hospital in Utrecht between January 2007 and April 2014. Data were collected for sex, date of birth, genetics, Cleft Lip type, date of Cleft Lip repair, type of repair, speech/language problems, and ear problems. Results This study included 75 patients (59% male). The mean age of the children at the moment of speech examination was 32.5 months (SD 6.1). Eighteen of the 75 children (24%) needed speech and language therapy; however, only one child (1.3%) had a Cleft-related speech problem. Sixteen of the 75 patients (21%) reported a history of one or more episodes of acute otitis media (AOM)/otitis media with effusion (OME) during the first 6 years. Conclusion/clinical relevance This is the first prospective study analyzing the incidence of Cleft-related speech problems in children with an isolated Cleft Lip. These children do not have a higher risk of Cleft-related speech problems or AOM/OME when compared to the general population. However, children with an isolated Cleft do have a higher incidence of speech therapy.
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Incidence of Cleft-related speech problems in children with an isolated Cleft Lip
Clinical Oral Investigations, 2020Co-Authors: B. J. A. Smarius, S. Haverkamp, H. Wilde, A. Wijck-warnaar, A. B. Mink Van Der Molen, C. C. BreugemAbstract:Objectives Clinicians agree that children with isolated Cleft Lip have fewer Cleft-associated problems than children with Cleft Lip and palate. Unfortunately, for isolated Cleft Lip children, the risk of Cleft-associated problems is unknown and maybe underestimated. Often, these children do not get the required follow-up by a multidisciplinary team and thereby not the known benefits in supporting their development. This study examines the incidence of Cleft-related speech problems and ear problems in children with isolated Cleft Lip. Materials and methods A prospective study was performed on all children born with an isolated Cleft Lip and treated at the Wilhelmina Children’s Hospital in Utrecht between January 2007 and April 2014. Data were collected for sex, date of birth, genetics, Cleft Lip type, date of Cleft Lip repair, type of repair, speech/language problems, and ear problems. Results This study included 75 patients (59% male). The mean age of the children at the moment of speech examination was 32.5 months (SD 6.1). Eighteen of the 75 children (24%) needed speech and language therapy; however, only one child (1.3%) had a Cleft-related speech problem. Sixteen of the 75 patients (21%) reported a history of one or more episodes of acute otitis media (AOM)/otitis media with effusion (OME) during the first 6 years. Conclusion/clinical relevance This is the first prospective study analyzing the incidence of Cleft-related speech problems in children with an isolated Cleft Lip. These children do not have a higher risk of Cleft-related speech problems or AOM/OME when compared to the general population. However, children with an isolated Cleft do have a higher incidence of speech therapy.
John B Mulliken - One of the best experts on this subject based on the ideXlab platform.
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asymmetrical bilateral Cleft Lip complete or incomplete and contralateral lesser defect minor form microform or mini microform
Plastic and Reconstructive Surgery, 2008Co-Authors: Shunsuke Yuzuriha, Albert K Oh, John B MullikenAbstract:Background:Complete or incomplete Cleft Lip can be associated with a contralateral lesser form of incomplete Cleft Lip, constituting an asymmetrical bilateral malformation.Methods:The Cleft Lip registry was searched for patients with complete or incomplete Cleft Lip and contralateral minor-form, mic
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minor form microform and mini microform Cleft Lip anatomical features operative techniques and revisions
Plastic and Reconstructive Surgery, 2008Co-Authors: Shunsuke Yuzuriha, John B MullikenAbstract:Background:Whatever method of closure, a Cleft Lip scar extends along the full labial height. A smaller scar is possible in repair of limited forms of incomplete Cleft Lip. This retrospective study was undertaken to define the subgroups of lesser-form Cleft Lip, describe technical alternatives, and
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frequency of le fort i osteotomy after repaired Cleft Lip and palate or Cleft palate
The Cleft Palate-Craniofacial Journal, 2006Co-Authors: Phoebe M Good, John B Mulliken, Bonnie L PadwaAbstract:Abstract Objective: Diminished maxillary growth is a consequence of labiopalatal repair, and many patients with Cleft Lip and palate require Le Fort I advancement. The goal of this study was to determine the frequency of maxillary hypoplasia as measured by need for Le Fort I. Subjects: Retrospective cohort study of males born before 1987 and females before 1989. Records of 173 patients with Cleft Lip and palate and 34 with Cleft palate were reviewed. Methods: Documented age, gender, Cleft type, and need for Le Fort I. Pearson chi-square and Fischer's exact analyses were performed to evaluate the frequency of Le Fort I. Results: Of 217 patients with Cleft Lip and palate or Cleft palate, 40 were syndromic; of the remaining 177 patients, 69 had Cleft Lip, 78 had Cleft Lip and palate, and 30 had Cleft palate. Thirty-seven of 177 patients (20.9%) required Le Fort I, subcategorized by Cleft type: 0/69 for Cleft Lip, 37/78 for Cleft Lip and palate, and 0/35 for Cleft palate (p < .0001). Of the 37/78 (47.4%) clef...
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double unilimb z plastic repair of microform Cleft Lip
Plastic and Reconstructive Surgery, 2005Co-Authors: John B MullikenAbstract:Background: Microform unilateral Cleft Lip is characterized by 1) notched mucosal margin; 2) thin medial vermilion; 3) elevated medial peak of Cupid's bow; 4) furrowed philtral column; 5) hypoplastic orbicularis oris; and 6) minor nasal deformity. Methods: The author's registry of unilateral incomplete Cleft Lip was culled for patients with microform Cleft Lip. Operative correction included: double-limb Z-plasty at the vermilion-cutaneous and vermilion-mucosal junctions; eversion of orbicularis oris; augmentation of philtral ridge with a dermal graft; medial positioning of the alar base; and elevation of the lower lateral cartilage. Results: Microform phenotype was found in 33 of 360 infants (9.2 percent) with unilateral incomplete Cleft Lip. Male-to-female and left-to-right ratio were both 2:1. Median age at presentation was 11 months (range, 2 weeks to 9 years). Twenty-three patients had a double unilimb Z-plastic repair (including dermal graft and nasal correction). No revisions have been necessary at median follow-up of 5 years, however, 13 percent of children lacked prominence of the upper philtral column and one-third of children exhibited minor nostril asymmetry. Conclusions: Double unilimb Z-plasty corrects the vertical asymmetry in a microform Cleft Lip while limiting the scar to the lower one-half of the Lip. The philtral ridge is formed by repair of the muscular diastasis and onlay of a dermal graft. Components of this technique are applicable to secondary Cleft deformities, such as elevated peak of the Cupid's bow and inadequate philtral ridge.